A partial denture is a removable dental appliance that is used to fill in gaps left by missing teeth. It helps restore the natural shape of the mouth and jaw, enabling you to chew and speak as you would with all your teeth. Properly fitting partial dentures are essential for comfort, chewing efficiency, and speech clarity. Here’s what you need to know about getting the right fit for your partial denture.
Understanding Proper Fit
When it comes to understanding the proper fit of a partial denture, there are three main aspects: stability, occlusion, and esthetics. Stability means that the denture should stay in place when inserted and not move around while speaking or eating. Occlusion refers to how the upper and lower teeth meet when biting down; they should fit together naturally without feeling tight or loose. The esthetic aspect refers to how natural the new teeth look in relation to surrounding tissue.
Appearance
A partial denture should appear natural and fit comfortably in the mouth. It should not interfere with natural speech or mouth movements. It should fill any visible gaps and match the patient’s existing teeth, giving an even-looking smile.
Feel
A partial denture should feel comfortable when worn, but it should also be securely held in place to prevent movement or dislocation. After fitting a partial denture for a perfect fit, certain adjustments may need to be made. Any discomfort when wearing the denture should be addressed immediately to prevent rubbing or irritation of the gums and tissue.
Getting an Accurate Impression
The first step in getting a properly fitted partial denture is getting an accurate impression of your mouth. During this process, your dentist will take impressions of your teeth and gums, which will be used as moulds from which the dentures will be crafted. You may feel pressure when taking these impressions; if so, let your dentist know so they can adjust their technique accordingly.
Customization for Comfort & Functionality
Once your impressions have been taken, the next step is to model them into customized dental appliances that are comfortable for you. This involves creating an appliance with sufficient support at key points, such as where it touches the gum line or attaches to existing teeth; enough room between any prosthetic and natural teeth so they don’t press too heavily against each other; and adjustments that make sure it fits securely against both upper and lower jaws without interfering with speaking or swallowing. Additionally, it should be made of materials that are comfortable for you – some people prefer hard acrylic resin. In contrast, others might opt for more flexible materials like polyamides or chrome cobalt metal alloys, depending on their preferences and needs. Given your lifestyle requirements and preferences, your dentist can help you decide what type works best for you.
Follow-up Appointments & Adjustments
Once your dentist has crafted a custom partial denture specifically designed for you based on accurate impressions taken during your initial visit, they will usually provide follow-up appointments every six months or so – especially if you have recently lost any additional teeth or experienced changes in bone structure due to age or disease – so adjustments can be made as necessary for the appliance continue fitting properly over time. In addition, regular check-ups allow your dentist to inspect prosthetic (false) teeth and existing ones so any required repairs or replacements can be done promptly before bigger issues arise over time, potentially leading to costly dental bills further down the road!
Signs Your Dentures Need Adjustment or Repairs
How do you know when your dentures need an adjustment or repair? Talk to your dentist or denturist if you notice the following signs.
Broken Teeth
You may break a tooth if you drop your dentures, step on them, or put too much pressure on them. Do not attempt to reattach the tooth yourself, either with a household adhesive or an over-the-counter repair kit.
Chips or Cracks
Not every accident claims an entire tooth-you may notice chips, pitting, or cracks instead. These may not threaten your denture’s function but create sharp, uneven surfaces that irritate or cut oral soft tissues.
Difficulty Chewing
One of the primary goals of artificial teeth is to restore normal eating habits. But if you notice increased difficulty chewing later on, it may indicate a need to refit your dentures to the exact shape of your gums.
Discomfort
While dentures may never feel as comfortable as natural teeth, they shouldn’t cause discomfort. Talk to your dentist or denturist if you notice jaw soreness, uneven pressure, or other discomforts.
Facial Shape Changes
Dentures play a large role in keeping your cheeks looking full and even just as effectively as natural teeth. So if you notice changes to your cheeks’ or jawline’s appearance, your dentures likely need adjustment.
Fit Changes
Your partial dentures should align with your natural teeth without significant movement. If your dentures don’t fit as they should, or the fit changes suddenly, they likely need a slight adjustment to alleviate the pain or discomfort.
Pressure Sores
Ill-fitting dentures cause pressure sores. These sores can develop if your dentures are not well fitted for your mouth. This is a good indicator as to where your dentures need to be adjusted.
Gum Irritation
When you first get new dentures, they can feel foreign. But once you acclimate, they should not cause gum irritation. Watch for any raw spots, inflammation, or bleeding. These symptoms may indicate a defect in the denture’s surface.
Oral Sores
While dentures do not cause oral sores, they can exacerbate some oral conditions. Canker sores and raw patches of tissue may stem from fissures on your dentures’ surface. Talk to your dentist if you notice any sores, soft tissue irritation, or discolouration. He or she may recommend changing your oral hygiene or denture care routines after performing any needed adjustments or repairs.
Speech Pattern Changes
Like chewing, talking relies on your teeth. When you first wear dentures, you may experience slurred speech, lisping, or excessive salivation, and all these fade. However, if they return or you experience any other speech pattern changes, you may need an adjustment.
Stains or Persistent Odors
Look for any staining. Your denturist can counteract most types of discolouration. Schedule an appointment with your dentist or denturist if you notice odours that linger even after a thorough cleaning-this may indicate a defect in the material.
What to Do if Your Partial Denture Doesn’t Fit Properly
If you have a partial denture and it doesn’t fit properly, there are a few steps you can take to get it fixed. The first step is to talk to your dentist or prosthodontist about the issue. They should be able to assess the problem and suggest potential solutions.
For minor issues, a simple adjustment may do the trick – such as adding more cushioning material around the edges of the dentures or relining them with a soft material that can better conform to your gums. However, if major issues exist – such as loosening teeth or excessive discomfort when speaking/eating – then more radical measures may need to be taken. This could involve replacing certain parts of the partial denture or even making a completely new one from scratch!
It’s important that you seek help from an experienced professional to ensure the best outcome for your particular situation. In addition, be sure to keep regular check-ups so any problems can be caught early before they become bigger issues down the road.
References:
https://eurodenture.com/blog/how-should-dentures-fit-in-your-mouth/
https://www.mouthhealthy.org/all-topics-a-z/dentures-partial
https://www.polident.com/en-us/partials/adjusting-to-partials/your-first-week-with-partial-dentures/
https://www.healthline.com/health/dental-and-oral-health/partial-denture